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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100136

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Francis LouisVassallo Sex Male

Date of Birth June 26, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Joseph Vassallo MAIDEN NAME of Mother Catherine MacDonald

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Sydney, Cape Breton Present address of Father

Occupation of Father at Birth of child Place of birth of Father Malta, Europe

Race Name and present address of Physician in attendance at birth

Signature of Applicant Frank Vassallo Address of Applicant 168 Crestdale Drive, RR #1, Sydney Forks, Cape Breton Date 24 June 1993

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Francis LouisVassallo

Born at Sydney in the County of Cape Breton

That Francis LouisVassallo Whose Birth is sought to be registered was

born at Sydney Cape Breton County on June 26, 1922

My knowledge of the fact and date of such Birth is based on the following Circumstances:

Francis Louis Vassallo is my husband. We have been married for 45 years. (signed Elva Vassallo)

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